Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jeremy Johnson, PA-C

Individual provider Physician Assistant · NPI 1306263603

Jeremy Johnson, PA-C is a Physician Assistant in Greensboro, North Carolina. Qualified in 2013, 13 years ago. Practices with Kadlec Regional Medical Center, a 396-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maryland and North Carolina.

Years since qualifying
13
Licensed in
MD, NC
In the registry since
2014
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1130 N Church St Ste 100
Greensboro, NC 27401-1041
Phone: (336) 235-3105
Fax: (336) 375-2314
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3001 Hospital Dr, Cheverly, MD 20785-1189 — (301) 618-2000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-09785 (NC)
Physician Assistant Taxonomy 363A00000X · Licence C05352 (MD)

Record details

NPI number1306263603
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 25, 2014
Last updated in NPPESJuly 7, 2021
Certification dateJuly 7, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Kadlec Regional Medical Center — 396 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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